Transactions of the Annual Meeting of the American Gastro-Enterological Association Volume 16

Transactions of the Annual Meeting of the American Gastro-Enterological Association Volume 16

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1913 edition. Excerpt: ...attention, that is the significance of the clinical history of these cases. There is a very marked difference in the history of cases of carcinomatous ulcer and those of primary carcinoma. I believe that we must consider the history of the case as being of as much importance for a diagnosis as any other matter. My experience is that most cases of primary carcinoma of the stomach present absolute freedom from previous gastric disorder to such an extent that these patients usually report that up to several months previous to their showing up at the physician's office, they were perfectly well, and had always enjoyed the best of health, and they often pride themselves on having had a stomach that tolerated everything. In such a case the contrast between previous good health and the sudden loss in weight and loss of appetite, coupled with the presence of gastric symptoms, is so marked that when a patient gives me such a history, that very fact itself raises in my mind a suspicion of cancer. I think all practitioners will agree with me that the majority of cancer cases present such a history, so that I doubt very much whether the majority of cancer cases develop on a primary ulcer. DR. FRIEDENWALD, BALTIMORE; I wish to thank the gentlemen for their very interesting and intelligent discussion of this question. This is certainly a most important problem. If the transition of ulcer into cancer is so frequent, it is our duty to have the ulcer cases operated on early, and I feel, with Dr. Bloodgood, that the thing then to do is to have a complete resection of the ulcer bearing area undertaken. I do not believe, however, that this transition is nearly as frequent as is generally supposed. DR. SMITHIES, RocnasTEa: The Society will recall more

Product details

  • Paperback | 62 pages
  • 189 x 246 x 3mm | 127g
  • United States
  • English
  • black & white illustrations
  • 1236912209
  • 9781236912206